[HSF] Fast tracking

[Nasser F. Abou'Seada]

""average" needs a little clarification. It may be wildly skewed
either way. For instance, early death, like in the operating room, will
decrease the average sharply, and a prolonged stay for a patient who
cannot get shunted away to a nursing home pushes the average the other
direction. "median" stay may be a more meaningful indicator of what
really is happening. "

Quite sharp remark .... the "Median" being a more meaningful indicator .....
ever considered the "mode" as an indicator ???

NFA ??


On 8/22/07, jbflegejr at aol.com <jbflegejr at aol.com> wrote:
>
> Tea, "average" needs a little clarification. It may be wildly skewed
> either way. For instance, early death, like in the operating room, will
> decrease the average sharply, and a prolonged stay for a patient who
> cannot get shunted away to a nursing home pushes the average the other
> direction. "median" stay may be a more meaningful indicator of what
> really is happening. John Flege
>
>
> -----Original Message-----
> From: Tea Acuff <tacuff at swbell.net>
> To: OpenHeart-L at lists.hsforum.com
> Sent: Tue, 21 Aug 2007 20:08:52 -0700 (PDT)
> Subject: Re: [HSF] Fast tracking
>
>
>
>
>
>
> I agree that you have room to push, Prasanna. I got back my average
> 2006 LOS for
> all CAB which was 4.4 days. Aim for 4 get 5-6+. Greater than 85%
> straight to
> home (which might be different for you, too?).
> tea
>
>
> ----- Original Message ----
> From: Jorge Rodriguez Campos <jrodriguezcampos at yahoo.com>
> To: OpenHeart-L at lists.hsforum.com
> Sent: Tuesday, August 21, 2007 3:06:38 PM
> Subject: Re: [HSF] Fast tracking
>
>
> Dear Prasanna:
>                      We discharged CABG off-pumb  on day 2-3 and had a
> 7 %
> readmission for thoracic paint or pleural effusions.
>                      Cases like ASD and MV repairs on day 3-4, and
> valves same
> you, of course always uncomplicated surgery.-
>                       Best regards.             Jorge Rodriguez Campos
>
>
> ----- Mensaje original ----
> De: Prasanna Simha <prasannasimha at gmail.com>
> Para: "OpenHeart-L at lists.hsforum.com" <OpenHeart-L at lists.hsforum.com>
> Enviado: sábado, 18 de agosto, 2007 14:44:06
> Asunto: [HSF] Fast tracking
>
>
> How fast do the members fast track the patients ie discharge to home
> (not a Skilled nursing facility etc) a routine uncomplicated case - for
> eg post op day3 or 5 or 7 or 10 ? especially those who have come from
> afar.
> This should obviously exclude the virtually home OPD which I read in an
> article where they discharged ASD's next day morning but ended up
> running a virtual ward in the OPD and had a 30 % readmission for
> effusions etc. We discharge cases like ASD's and MV repairs on Day 4-5.
> Uncomplicated CABG's on day 5 and valves depending on their stabiltity
> of INR and the distance from which they come (further they are - the
> later they get discharged probably between 7- 10 days) earlier if they
> live close to or in the city so that they can get back for a PT
> adjustment.
> How many of you use the self monitored PT systems and also how many of
> you have used the patients detected phonocardiogram devices to detect
> early changes in the prosthetic valve acoustic properties ?
> Prasanna
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